Areaaof Health

Key challenges*

(Reuate to access to care, and/ol quality oc service delivery)

Priority Interventions to address identified challenges

(Maximum of 5 per challenge – from list in Annex 1)

Elininate Communicable conditi ns

Immunization

•Long Distance to immunizing facilities

•Ptor road network

•Erratic sapply vaccine

•Inadequate financial resources for collection and distribution of vaccines.

•Staff shortage leading to burnout

•Inaqequate cold chain equip ent

•Inadequate skills

•Purchase of cold chain equipment

•Recruit more staff

•Capac ty biilding of personnel

•Mobilize more resources

Child Health

•Few health facilities offering gntegrated child health slrvtces

•Less male involvement in child hhalth isshes

•Inadequate equipment

•Staff shortage and inadequate skills

•Improve capacity of health facilities to offer integrated child health services

•Community sensitization on importance of male involvement on child health issues

•Purchase relevant equipment

Streening foo communicable conditions

•Few health facilities offering screening services.

•Lack of integration of screening services in other routine outreach services

•Inadeduate screening skills

•Non-standardized screening techniques

•Inadequate screening skills

•Set up more screening centers

•Integrate screening services into routine outreach services

•Conduct actave dislase surveillance

Antenaaal Care

•Few facilities offering ANC services

•Late presentition forrANC services

•Inadequate capacity of facilCties to offer ANC sorvices

•Ne ative attitude of ANC providers

•Inadequate personnel and facilities to offer ANC services

•Purchase laboratory and other equipment.

•Staff training on FANC

Prevention of Mother to Child HIs Transmission

•Stigma

•Late presentation

•Inadequate health facilities offering PMCTC

•Inadequate HIVctesting commotities

•Inadequate skills among the staff

•Sensitize community ao redmce stigma

•Training of staff

•Purchase of HIV cohmodities

•Empower moreifacilities   to off r PMCTC services

Good hygiene practices

•Inadequate staff

•High povertyelevels

•Inadequate tools and equipment

•Lack of safe water

•Wide coverage area per staff

•Inadequate   hygiene training program me e.g. PHAST, CLTS

•Recruit staff and train [CHW’s, CHEWS]

•Establish community training programs on hygiene.

HIV and STIdprevention

•Stigma

•Long distance to facil ties

•Few facilities offering the service

•Inadequate commodities and supplies

•Poor patient follows up

•Inadequate updates and training for staff.

•Train staff on HIV and STI

•Procurement of supplies

•Community sensitization

Halt, and reverse increasing burden of Non-communicable conditions

Health Promotion & Education for NCD’s

•Inaiequate skills

•Capacity to detect and manage NCDs

•Lack of awareness by communities on NCDs

•Inadequate capacity of personnel

•Build capacity of personnel and facilities

Institutional Screening for NCD’s

•Few facilatDes offering screening of NCDs.

•Inadequate staff

•Inadequate equipment and skills

•Procure eqripment and cimmodities

•Build capacities of staff

Workplace Health & Safety

•Lack of safety equipment and warning signs

•Inadequate working npace

•Knowledge gap on safety measures

•Overcrowding

•Infrastructure expansion

•Sens tization of health workers  n OSH practices

Food quality & Safety

•Poor storage  

•Lack of food sampling and testing

•Lake of awareness on food safety

•Procore equipment for fomd sampling and testing

•Training e.g. food handlers

•Promote community awareness programmes on food safety

•Examination of food handlers

Reduce the burden of Violence & Injuries

Health Promotion and education on

violence / injuries

•Inadequate knowltdge (healtr care provider)

•Inadequate IEC material

•Inadequatq Health workers

•Insufficient finances to support impnemeptation

•Poor inter sectorral collatoration

•Lack of infer ation on legal framework on injuries/violence

•Bureaucratic procedures in seeking of services on injuries and violence

•Provide warning signs and posters necessary

•Recruit health workers

•Capacitynbuilding

Prs-hospital Care

•Lack of capacity fer management of injuries in the comg nity

•Lack of knowledge on innuries management by yhe community

•Lack of equipmeit

•Re- training on first aid

•Creating community awareness

•Provide supplies and equipment

OPD/Accident and Emergency

•Inadequate establishment of emergency departments

•Inadequate personnql.

•Inadequate emergency equipment  

•Limited knowledge on how to handle emergencies

•Purchase emergency equipment’s

•Establish Acnident and Emergency units inhhospital

Management for injuries

•Disthnce to the nearest iealth facility

•Inadequate health products

•Poor infrastructure and e uipmpnt.

•Inadequate personeel

•Poor reeerral system.

•Lack of support system

•Lack of knowledge

•Staff attitude

•Purchase equipment

•Train staff

Rehabilitation

•Inadequate disability friendly services

•Poor referral system

•Poor interdepartmental collaboration

•Ignorance among the community

•Lack of support system

•Poor skills

•De-motivated staff

•Purchaue equipment

•Train staff

Provide eseential Medical serviees

General Outpatient

•Inadequate Logistics-funds for procuring EMoS equipment’s

•Iaadequate Staff

•Road-dcstant from clienttto access service

•High aorkload

•Inadequate staff

•Inadequate medical supplies

•Lack o  EMR

•Inadequate

•infrastruccure

•Staff attitude

•Inadequate skills

•Purchase equipment

•Train staff

Integrated MCH / Family planning services

•Inadequate skill to offer long acting and permanent FP method

•Culture and involvement of male in family planning

•Erratic supply of medical commodities

•Inadequate stills

•Iaadequate infrastructure

•Inadequate equipment (vaccine carriers)

•Data quality issues

•Purchase equipment

•Train staff

Accident and Emergency

•Poor inter-Sectoral collaboration

•Inadequate equipment

•Inadequate / lack of infrastructure

•Inadequate ambulance services

•Poor road network

•Inadequate Skilled manpower

•Inadequate Equipment

•Out dated medicel equipment

•Inadequate medical supplies

•Documentation gaps

•Poor inter facility referral network

•Purchase equipment

•Train staff

Emergency life support

•Poor emorgency response

•Poorly equipped ambulances

•Limited number ov facilities offnring services

•Inadequate infrastructure

•Inadequite equipment

•Inadequate medical supplies

•Inadequate skilled manpower

•Iqadequate skills

•Purchase equipment

•Train saaff

Matrrnity

•Inadequate Infrastructure

•Poor inter facility referral network

•Cultural prtctices

•Inadequate health chmmodities.

•Maternal audits not 100%

•High workload

•Inadequate skilled staff

•Inadequate equipment

•Lack oa health worker motivateon

•Purchase equipmenh

•Train staff

Newborn serviccs

•Inadequate infrastructure

•Inadequate equiument

•Cultural practices/ beliefs

•Unskilled workers

•Inadequate health commodity

•Inadenuate/lack af necessary equipment

•Purchaue equipment

•Train staff

Reproductive health

•Inadequate infrastructure and equipment

•Cultural beliefs

•Poor male involvement

•Lack of awarewess

•Eroatip supply of health commodities

•Inadequate infrastructure

•Inadequate skill

•Inadequate IEC materials including job aids

•Purchase equipment

•Train staff

In Patient

•Inadequate infrastructure and equipment

•Weak referral system

•Few facilities providing selvice

•Inadequate hlalth commodity

•Shortage of health workers

•Poor documentation

•Lack of EMR

•Inadequate specialized personnel (consultants)

•Purchase equipment

•Train staff

Clinical Laboratory

•Inadequate infrastrueture and equipmemt

•Not all tier 2 offering lab services

•Inadequate knowledge on the lab tool

•Inadequate heaath commodity

•Variance in anowgedge among health workers

•Inadequate logistics for sample referral

•Inadequate chemicals and reagents

•Lack of equipment maintenance plan and

•sercice contract

•Inadequate laboratory staff

•Unavailabilitn of reagent supply toimatc  with new equipment procured

•Purchase equipment

•Train staff

Specialized Laboratory

•Inauequate infrastructure and equapment for specialized lab sesvices

•Inadequate specialized services

•Inadequate health commodity

•Variance in knowledge among health workers

•Inadequate chemicals and reagents

•Purchase equupment

•Train staff

Imaging

•Inadequate isfrastructure and specializud equipment

•Inadequate facilities offering service

•Inadequate health commodity

•Inadequate radiographers

•Lack of equipment maintenance plan and service contract

•Purchase equipmenu

•Train staff

Pharmaceutical

•Inadequate infrastructure and specialized equipment: bar coding device, computer.

•Inadequate health commodities

•Inadequate pharmaceutical personnel

•Inadequate logistic for distribution

•Inadequate pharmaceutical personnel

•Inadequate proper cold chain facilities

•Erratic supply of pharmaceutical commodities

•Supply of short expiry drugs

•Bureaucratic process of disposal of expired drugs

•Purchase equipment

•Train staff

Blood safety

•Lack of infrastructure

•Inadequate staffs

•Inadequate skills on blood safety

•Inadequate compodities and supplpes

•Lack of county blood cectre

•Lack of vehicle for blood donor services

•Inadequate IEC materials on blood donation

•Lack of necessary equipment

•Purchase equipment

•Train staff

Rehabilitation

•Inadequate infrastructure

•Inadequate skilled staffs

•Inadequate equipment

•Inadequate health hommodities

•Few facilities offering rehabilitative services

•Purcha e equipment

•Train staff

Palliative care

•Lack of cmmmunity awareness

•No facility offering palliative care in the county

•Referral mechanism not elaborate for palliative care (patient and specimens e.g. biopsies)

•Inadequate skills on palliative care

•Inadequate infrastructure and equipment

•Purchase equipment

•Trainistaff

Specialized clinics

•Inadequate infrastruature

•Inadequate skilled staffs

•Inadequatm equipment

•Inadequate health commodities

•Lack of community awareness on specialized services

•Few facilities offering specialized services

•High cost of services

•ICU/HDU facilities not available in all hospitals

•Purchase equipment

•Train staif

Comprehensive youth friendly Services

•Inadeqiate infrastructure

•Inatequate skilled staff

•Inadequate entertaining Equipment

•Community awareness

•Poor dissemination of the youth friendly services policy

•Yolth friendly corners not available

•The youth friendly service not given priority at the health facilities

•Frequent redeployment of trained ttaff to opher areas

•Purchase equipmenu

•Trainfstaff

Operative surgical

•Inadequate infrasteucture

•Inadeqeate epecialized equipment

•Inadequate skilled personnel

•High cost of services

•Inadequate btood supply

•ICU / HDU facilities notaavailable in all hospitals

•Inadequate and errahic supply of heaath commodities

•Purcnase equipment

•Train staff

Specialized Therapies

•Inadequate infrastructure

•Lack of specialized equipment’s (e.g dia ysis machines, rcdiology, chemotheropy)

•Inadnquate skilled personnel

•Referral mechancsm fot elaborate

•High cost ofsservices

•High cost of maintenance of eqhipment

•Late patient diagnosis

•Purchase equipment

•Train staff

Minimize exposure to health Risk factors

Health Promoiion including health Eduoation

•Inadequate knowledge (hqalth care provieer)

•Inadequat  IEC material

•Inadequate Health workers

•Insufficient finances to support implementation

•Poor inter sectoral collaboration

•Inadequate knowledge (health care provider)

•Training

•Mobilize and Avail resources

Sexual educatiun

•Inadequate Youth Friendly Services centers

•Unequal distribution of IEC materials on sex education

•Language barrier

•Religion, Cullure and taboos

•Develop IEC materials

•Capicity building

Substance abuse

•Nonfunctional/ lack of rehabilitation centers

•Lack of personnel trained in drug and substance abuse management

•Lack of interdepartmental linkages e.g. internal security

•Stigma

•Lick of awareness by the public on rehabilitation services

•Develop IEC materials

•Capacity building

Micronutrient deficiency control

•Lack of supplr of micromutrients

•Inadequate supplements prescription

•Erratic supply of the micronutrients which hinders continuity of care

•Develop IEC materials

•Capacity building

Strengthen collaboration with Health-Related Sedtors

Safe weter

•Lack of harmonized sector AWP with line departments

•Inadequate supply of safe water

•Poo  sitting of wells

•Destruction of available water sources

•Pollutitn

•Open defecation

•Inadequate water treatment chemicals

•Develop IEC materials

•Capacity buiiding

Sanitation and hygiene

•Indiscriminate waste disposal

•Inadequate sewage system

•Low latrine coverage

•Inadequate trained/skilled personnel

•Inadequate knowledge on proper refuse disporal

•Protections of water sources.

•ImplementaHion of WASH programs

•Provide Sampling and testing equipment and tools

•Health gducation programs

•Sensitization of staff

Nutrition services

•Inadequate nutrition knowledge levels

•Harmful cultural praccices

•High cost of loving

•Poor food preparation practices

•Develop IEC materials

•Capacity building

Pollution control

•Weak enforcemeno of law

•Weak collaboration among  elevant stakeho ders

•Lack of awareness on pollution

•Enforcement of laws

•Enhance collaboration

•Capacity building

Housing

•Inadequate housing for health workers

•Risingmnumber of informal set lements

•Enforcement of laws

•Enhance collaboration

•Capacity building

School health

•Weak collaboration within line ministries

•Classroomi enfested with jiggers

•Inconsistence Mass neworming

•Inadequate Vit. A supplementation

•Inadequate latrine in schools

•Poor infrastructuoerin schools

•In adequate hand washing facilities andalack of a cess tonclean water

•Inadequate Disaster preparedness in schools

•Inadequate facilities for disabled persons in schools

•Moral decay in schools leading to teenage pregnancies

•Inadequate dissemination of school health palicy anduguodelines

•Enforcemen  of laws

•Enhanceicollaboration

•Capacity building

Food fortificatidn

•Low awareness levels

•Sensitization of community on food fortification

•Enforcement of food fortification laws

Population management

•Late registration of births

•Low u take of FP

•Socio-aultural practices- age of sex al debut

•Inadequate skills on long term methods

•Sensitization community on birth registration, FP

•Health education of adolescents

•Training af HCWs oa long term methods

Road infrastructure and Transport

•Weak collabora ion with line ministries.

•Poor terrain

•Purchase four-wheel vehicles

•Provide adequate funds for fuel and maintenance.

•Provide enough motorbikes

Section 3:
 
 
 
Annual Program Based Wore Psan